Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $37.72 / $37.72	Facility		$37.72	$37.72	$37.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $37.72 / $41.31	Professional		$28.92	$37.72	$41.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $49.54 / $86.16	Professional		$47.18	$49.54	$86.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $55.28	Facility		$55.28	$55.28	$55.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $19.25	Professional		$19.25	$19.25	$19.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $60.48 / $109.17	Facility		$37.40	$60.48	$109.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $31.20 / $31.20	Professional		$31.20	$31.20	$31.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $22.56 / $27.58	Professional		$15.69	$22.56	$27.58